Provider Demographics
NPI:1417229550
Name:MILLER, CHRISTOPHER P (LPC)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:P
Last Name:MILLER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:739 RIVER GLEN DR
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63368-9647
Mailing Address - Country:US
Mailing Address - Phone:540-797-4562
Mailing Address - Fax:
Practice Address - Street 1:5401 FALLOWATER LN
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-0948
Practice Address - Country:US
Practice Address - Phone:434-485-8861
Practice Address - Fax:434-485-8877
Is Sole Proprietor?:No
Enumeration Date:2012-02-06
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005183101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional